Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090128   Estimate Number: 0011 , Final     Spec Year: 1999
Primary JP: 24931(04)   Residency: ADA (03100)     Contract No: 411102
Date Created: 06/23/2010   Contractor FEI: 730626847     Account No: 400300

Project Number(s): STP-STIM(181)3R
Contract Description: RESURFACE (ASPHALT) SH-56: BEGIN 5.1 MILES EAST OF SH-99, EXTEND EAST. PROJECT LENGTH = 4.76 MILES
Primary County: SEMINOLE              
Name of Road: SH-56              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.           Time Charged: 235.00
    P. O. BOX 748           Time Allowed: 238.00
    ENID , OK   73702           Percent Time: 98.74 %

  Paid To Date: $954,546.25 Payable This Statement: $-577.15

CONTRACTOR AFFIDAVIT
STATE OF ___________________ )  
  )      
COUNTY OF __________________ )  
The undersigned contractor or duly authorized agent, of lawful age, being first duly sworn, on oath say that this claim is true and correct.
Affiant further states that the work, services or materials as shown by this claim have been completed or supplied in accordance with the plans, specifications, orders, requests and all other terms of the contract. Affiant further states that (s)he is duly authorized agent of the contractor for the purpose of certifying the facts pertaining to the giving of things of value to government personnel in order to procure the contract or obtain payment; that (s)he is fully aware of the facts and circumstances surrounding the making of the contract and has been personally and directly involved in the proceedings leading to the procurement of the contract and the filing of this claim; and, neither the contractor nor anyone subject to the contractor's direction or control has been paid, given or donated or agreed to pay, give or donate to any officer or employee of the State of Oklahoma any money or other thing of value, either directly or
indirectly, in procuring the contract or obtaining payment. The affiant further certifies that all laborers, mechanics, apprentices and trainees employed by him/her or by any subcontractor performing work under the contract on the project have been paid wages at rates not less than those required by the contract provisions, and that the work performed by each such laborer, mechanic, apprentice or trainee conformed to the classifications set forth in the contract or training program provisions applicable to the wage rate paid.
Affiant hereby agrees that Contractor will accept this estimate as full compensation for all money due Contractor by the Department of Transportation, and hereby relinquish all claims, either in contract or in tort, which have arisen or which might arise out of the construction of said project. That to the best of my knowledge and belief, all indebtedness for labor, materials, fuel, equipment, equipment rental, parts, supplies, insurance premiums, and claims for items not specifically mentioned, which are attributable to performance of the work on this project or which were incorporated therein in any manner, have been paid in full, and that there are not now any presently outstanding, unpaid claims for such indebtedness; that my position with the company is such, that if there were any such outstanding claims of the nature specified herein, I would ordinarily be aware of them.
Further affiant sayeth not.                                
THE CUMMINS CONSTRUCTION CO., INC.                               
 
_________________________________________________
Affiant Signature
 
_________________________________________________
Affiant Printed Name
                          PE Seal
_________________________________________________
Affiant Company Position
Subscribed and sworn to before me this ______ day of ____________, 20____
My Commission Number: ____________ My Commission Expires: ______________
   
_________________________________________________              
_________________________________________________
                    Professional Engineer Signature
              Oklahoma Department of Transportation
Corporate Seal
Notary Seal                  

Oklahoma Department of Transportation
Final Estimate Summary
Created:    06/23/2010
Contract ID: 090128   Estimate Number: 0011     Contract No: 411102
Residency: ADA (03100)   Estimate Type: Final     Account No: 400300

Project Number(s): STP-STIM(181)3R
Primary Job Piece No: 24931(04)
Contract Description: RESURFACE (ASPHALT) SH-56: BEGIN 5.1 MILES EAST OF SH-99, EXTEND EAST. PROJECT LENGTH = 4.76 MILES
Primary County: SEMINOLE              
Name of Road: SH-56              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.              
    P. O. BOX 748              
    ENID , OK   73702              
Surety Company: HARTFORD ACCIDENT & INDEMNITY COMPANY              

Date Let: 03/19/2009 NTP Effective Date: 07/06/2009 Pay Period: 02/03/2010  TO  06/10/2010
Date Awarded: 03/30/2009 Date Work Began: 06/30/2009 Original Contract Time: 60
Date Contract Executed: 04/13/2009 Date Time Stopped: 02/19/2010 Current Time Charged: 235.00
Date NTP Issued: 04/15/2009 Completion Date: 02/19/2010 Current Time Allowed: 238.00
General Liability Expires: 09/01/2010 Workman's Comp Expires: 01/01/2011 Percent Time Used: 98.74 %
Specification Year: 1999        

Current Contract Amount: $952,088.05 Total to Date Prev to Date This Estimate
Bid Amount: $984,291.70 Participating: $952,088.06 $952,088.06 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-2,458.20 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $29,745.45 Total Earnings: $952,088.06 $952,088.06 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $952,088.06 $952,088.06 $0.00
Other Adjustments: $2,458.19 $3,035.34 $-577.15
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $954,546.25 $955,123.40 $-577.15

Estimate Adjustment Detail

Contract ID: 090128   Estimate Number: 0011     Primary JP: 24931(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Change Order for ARRA Section 902 &1515(a) Approved 05/11/2009 0.0 $0.00
002 Change Order for Roadway Smoothness Bonus Approved 10/12/2009 0.0 $8,013.81
003 Finalizing Contract Item Qtys Approved 04/21/2010 0.0 $-40,217.46


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
No material stockpiles have been created for this contract.
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0006 -12.0 $500.00 $-6,000.00
System Application of Liquidated Damages 0007 -6.0 $500.00 $-3,000.00
System Application of Liquidated Damages 0008 --12 $500.00 $6,000.00
System Application of Liquidated Damages 0008 --6.0 $500.00 $3,000.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
No general contract adjustments have been created on this contract.
Subtotals For Contract Adjustments $0.00


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
24931(04) 0006 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $360.02
24931(04) 0006 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 0.00 $0.00 $214.63
24931(04) 0007 (SP)ASPHALT CONCRETE TYPE S5(PG 70-28 OK) Asphalt Binder Adjustment 0006 0.00 $0.00 $1,990.23
24931(04) 0007 (SP)ASPHALT CONCRETE TYPE S5(PG 70-28 OK) Asphalt Binder Adjustment 0007 0.00 $0.00 $381.77
24931(04) 0007 (SP)ASPHALT CONCRETE TYPE S5(PG 70-28 OK) Asphalt Binder Adjustment 0010 0.00 $0.00 $88.69
24931(04) 0008 CLASS A CONCRETE * COMPRESSIVE STRENGTH 0011 -1.00 $577.15 $-577.15
Subtotals For Line Item Adjustments $2,458.19
* = User applied Line Item Adjustments


MILESTONE ADJUSTMENTS
Milestone Number Milestone Description Time Allowed Time Used Rate Total
No milestones exist for this contract.

Line Item Detail

Contract ID: 090128   Estimate Number: 0011     Primary JP: 24931(04)



Line Item Number Item Description Item Number Units Bid Qty Current Quantity Quantity Paid This Est. Quantity Paid To Date Unit Price Amount Paid This Est. Amount Paid To Date
Fed/State Project Number:    STP-STIM(181)3R Project:    24931(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 800.000 800.000   800.000 $24.25 $0.00 $19,400.00
0002 (SP)CEMENT KILN DUST 327(B) 4210 TON 225.000 75.180   75.180 $42.45 $0.00 $3,191.39
0003 (SP)CEMENTITIOUS STABILIZED SUBGRADE 327(E) 4240 SY 5,700.000 2,133.330   2,133.330 $8.35 $0.00 $17,813.31
0004 TACK COAT 407 0250 GAL 7,000.000 5,915.250   5,915.250 $3.70 $0.00 $21,886.43
0005 PRIME COAT 408 5774 GAL 600.000 260.230   260.230 $6.15 $0.00 $1,600.41
0006 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 2,150.000 1,522.330   1,522.330 $68.90 $0.00 $104,888.54
0007 (SP)ASPHALT CONCRETE TYPE S5(PG 70-28 OK) 411(S5) 5970 TON 5,925.000 6,884.840   6,884.840 $77.05 $0.00 $530,476.92
0008 CLASS A CONCRETE 509(B) 0321 CY 279.000 226.340 0.000 226.340 $570.00 $0.00 $129,013.80
0009 REINFORCING STEEL 511(A) 0332 LB 30,537.000 26,947.000   26,947.000 $1.60 $0.00 $43,115.20
0010 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 5,700.000 5,333.330   5,333.330 $5.30 $0.00 $28,266.65
0011 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 63,000.000 93,072.000   93,072.000 $0.30 $0.00 $27,921.60
0012 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $16,500.00 $0.00 $16,500.00
8001 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5015 EA 0.000 8,013.810   8,013.810 $1.00 $0.00 $8,013.81
Subtotals For Category     0100/ROADWAY    $0.00 $952,088.06
Fed/State Project Number:    STP-STIM(181)3R Project:    24931(04) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project STP-STIM(181)3R /24931(04) $0.00 $952,088.06